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_, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Agile Stone Systems, Inc. <br />M-1997-054 <br />Parkdale Project <br />January 11, 2004 <br />V/ <br />- - According to C.R:S-34=32:5116or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />PIeaRP attach your revised written anneal re~nrt and anneal report man to Chic form. pteasC n0t2 that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />PermitteeContact: Larry Harkins ~Aa7t-E W ~AsL ~ <br />Permittee Name: Agile Stone Systems, Inc. <br />Address: P. O. Box 1026 <br />Canon City, CO 81215 <br />Phone Number: (719) 276-2042 <br />3l N, TE7ou sT Sim ~}OG <br />Ct6weh~o Spe~N6s co do4O3 <br />~~~~~~ ~~ <br />~AN~2~ <br />~i,jis~oa of H""ova\s and Geo1oGY <br />~t4-8S'+-8800 <br />Fax Number: (719) 275-2227 1 iii - 88'-1- 88o I <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions aze enclosed. <br />$688.00 (Due on or before your anniversary date) <br />S Fremont <br />M:~PERM771MASTERDOCllMENTS Wi-AF-OI <br />Dat--~9~ S` <br />